| NPI | 1659945863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY CARTER Executive Director 714-247-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |